| NPI | 1508878299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 60407922) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1189) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2015-06-30 |